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File#BP-2001-1127
APPLICANT/CONTACT PERSON DALE 14AWLEY
ADDRESS/PHONE P O BOX 273 (413)667-3149
PROPERTY LOCATION 34 PINE VALLEY RD
MAP 35 PARCEL 185 ZONE SR
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: INSTALL(2)20 FT CENTER BEAMS/FLOOR SUPPORTS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 055048
3 sets of Plans/Plot Plan
TH OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION:
Approved as presented/based on information presented.
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § —w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation C Olission Permit from CB Architecture Committee
LQ�
Signature of Building Official' Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
V a BP-2001-1127
# COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001
Permit: Building
Cateeorv:Non structural interior renovations BUILDING PERMIT
Permit# BP-2001-1127
Proiect# JS-2001-1980
Est.Cost:$4210.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: DALE HAWLEY 055048
Lot Sizes .ft. : 134600.40 Owner., CHILDS RONALD L&CYNTHIA M
Zoning: SR Applicant: DALE HAWLEY
AT. 34 PINE VALLEY RD
Applicant Address: Phone: Insurance:
P O BOX 273 (413) 667-3149
HUNTINGTONMA01050 ISSUED ON.•61291010:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL (2) 20 FT CENTER BEAMS/FLOOR
SUPPORTS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Final: Final:
Rough Frame:
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occur)ancy Signature:
Fee Tyne: Receipt No: Date Paid: Check No: Amount-
Building 6/29/010:00:00 4683 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo